Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	4021707
Status:	Installed/Not in Use
Facility Name:	Clark
Address:	615 N. Cedar Shelbyville, IL 62565
County:	Shelby
Property Parcel:	2013-07-13-301-001
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	AA00992
Green Tag Issue Date:	3/19/2025
Green Tag Expire Date:	12/31/2027
MFD Type:	Self Service

Owner Details

Owner Name:	Shyam Food Mart, Inc.
Owner Address:	615 N. Cedar Shelbyville, IL 62565
Owner Status:	Current Owner
Purchase Date:	6/27/2014
Type of Financial Responsibility:	Certificate of Deposit
Financial Responsibility Reporting Due Date:	2/25/2027

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0037897	Shyam Food Mart, Inc.	Current Owner	6/27/2014
U0026775	Lincoln Land Oil Company	Former Owner	12/5/1986
U0017119	Chronister Oil Company	Former Owner

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00687-2026REM	Removal	Approved / Amended	6/17/2026	6/17/2026	12/17/2026	Documents
00722-2026INS	Install	Approved / Issued	6/19/2026	6/29/2026	12/29/2026	Documents

Notice of Violations (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
2026-0490	7/1/2026	Removal Log	00687-2026REM
2026-0490	6/30/2026	Removal Log	00687-2026REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20191157	Eligible	1/9/2020	1/15/2020	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 3

Capacity:	4000	Petroleum Use:
Product:	Gasoline - Non Ethanol	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	7/1/2026
OSFM First Notify Date:	3/9/1989	Abandoned Material:
Current Age:	37	Abandoned Date:
Install Date:	3/25/1989	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	3/25/1989

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Fiberglass Non-Corrosive	Not applicable	Not applicable
Corrosion Prot - Tank	Fiberglass Non-Corrosive	Not applicable	Not applicable
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/21/2025	11/21/2026
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC with CSLD	11/21/2025	11/21/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/19/2024	11/19/2027
Piping	Flex Connector Steel	Not applicable	Not applicable
Piping	Fiberglass Single Wall Piping	Not applicable	Not applicable
Piping	Not Installed STP/Tanktop Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	11/19/2024	11/19/2027
Tank	Fiberglass Single Wall	Not applicable	Not applicable

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping	Precision Test (Piping)	Pass	11/21/2025

Tank Number 4

Capacity:	4000	Petroleum Use:
Product:	Diesel Fuel	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	7/1/2026
OSFM First Notify Date:	3/9/1989	Abandoned Material:
Current Age:	37	Abandoned Date:
Install Date:	3/25/1989	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	3/25/1989

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Fiberglass Non-Corrosive	Not applicable	Not applicable
Corrosion Prot - Tank	Fiberglass Non-Corrosive	Not applicable	Not applicable
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/21/2025	11/21/2026
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC with CSLD	11/21/2025	11/21/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/19/2024	11/19/2027
Piping	Flex Connector Steel	Not applicable	Not applicable
Piping	Fiberglass Single Wall Piping	Not applicable	Not applicable
Piping	Not Installed STP/Tanktop Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	11/19/2024	11/19/2027
Tank	Fiberglass Single Wall	Not applicable	Not applicable

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping	Precision Test (Piping)	Pass	11/21/2025

Tank Number 5

Capacity:	4000	Petroleum Use:	None
Product:	Kerosene	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	6/30/2026
OSFM First Notify Date:	3/9/1989	Abandoned Material:	Inert material mixed with portland cement
Current Age:	37	Abandoned Date:	12/3/2019
Install Date:	3/25/1989	Red Tag Issue Date:
Last Used Date:	11/30/2018	Fee Due:	$0.00
Product Date:	3/25/1989

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	9/27/2018	9/27/2021
Corrosion Prot - Piping	Fiberglass Non-Corrosive	Not applicable	Not applicable
Corrosion Prot - Tank	Fiberglass Non-Corrosive	Not applicable	Not applicable
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/10/2017	9/27/2018
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC with CSLD	9/27/2018	9/27/2019
Overfill Prev Device	Overfill Drop Tube Valve	No passing test found	No passing test found
Piping	Flex Connector Steel	Not applicable	Not applicable
Piping	Fiberglass Single Wall Piping	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	9/27/2018	9/27/2021
Tank	Fiberglass Single Wall	Not applicable	Not applicable

Additional Tests

No Tests Listed

Tank Number 6

Capacity:	10000	Petroleum Use:
Product:	Gasoline - Premium	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	7/1/2026
OSFM First Notify Date:	5/5/1986	Abandoned Material:
Current Age:	48	Abandoned Date:
Install Date:	5/6/1978	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	5/6/1978

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Fiberglass Non-Corrosive	Not applicable	Not applicable
Corrosion Prot - Tank	Lining Materials Internal Bridgeport Chemical Glass Armor GA 27P	11/14/2023	11/14/2028
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/21/2025	11/21/2026
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC with CSLD	11/21/2025	11/21/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/19/2024	11/19/2027
Piping	Flex Connector Steel	Not applicable	Not applicable
Piping	Fiberglass Single Wall Piping	Not applicable	Not applicable
Piping	Not Installed STP/Tanktop Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	11/19/2024	11/19/2027
Tank	Steel Single Wall	Not applicable	Not applicable

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping	Precision Test (Piping)	Pass	11/21/2025
Tank	Steel Single Wall	Precision Test (Tank)	Pass	11/15/2023

Tank Number 7

Capacity:	10000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	7/1/2026
OSFM First Notify Date:	5/5/1986	Abandoned Material:
Current Age:	48	Abandoned Date:
Install Date:	5/6/1978	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	5/6/1978

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/21/2025	11/21/2028
Corrosion Prot - Piping	Fiberglass Non-Corrosive	Not applicable	Not applicable
Corrosion Prot - Tank	Lining Materials Internal Bridgeport Chemical Glass Armor GA 27P	11/14/2023	11/14/2028
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/21/2025	11/21/2026
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC with CSLD	11/21/2025	11/21/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/19/2024	11/19/2027
Piping	Flex Connector Steel	Not applicable	Not applicable
Piping	Fiberglass Single Wall Piping	Not applicable	Not applicable
Piping	Not Installed STP/Tanktop Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	11/19/2024	11/19/2027
Tank	Steel Single Wall	Not applicable	Not applicable

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping	Precision Test (Piping)	Pass	11/21/2025
Tank	Steel Single Wall	Precision Test (Tank)	Pass	11/15/2023

Tank Number 8

Capacity:	10000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Installed/Not in Use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:		Abandoned Material:
Current Age:	0	Abandoned Date:
Install Date:	7/9/2026	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Tank	Composite Double Wall Modern Welding Glasteel II	Not applicable	Not applicable

Additional Tests

No Tests Listed

Tank Number 9

Capacity:	4000	Petroleum Use:
Product:	Gasoline - Premium	CERCLA Substance:
Status:	Installed/Not in Use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:		Abandoned Material:
Current Age:	0	Abandoned Date:
Install Date:	7/9/2026	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Tank	Composite Double Wall Modern Welding Glasteel II	Not applicable	Not applicable

Additional Tests

No Tests Listed

Tank Number 10

Capacity:	4000	Petroleum Use:
Product:	E15	CERCLA Substance:
Status:	Installed/Not in Use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:		Abandoned Material:
Current Age:	0	Abandoned Date:
Install Date:	7/9/2026	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Tank	Composite Double Wall Modern Welding Glasteel II	Not applicable	Not applicable

Additional Tests

No Tests Listed

Tank Number 11

Capacity:	4000	Petroleum Use:
Product:	Gasoline - Non Ethanol	CERCLA Substance:
Status:	Installed/Not in Use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:		Abandoned Material:
Current Age:	0	Abandoned Date:
Install Date:	7/9/2026	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Tank	Composite Double Wall Modern Welding Glasteel II	Not applicable	Not applicable

Additional Tests

No Tests Listed

Failed test = the latest test has failed.

Not applicable = a test does not apply to this equipment type or configuration.

No passing test found = a passing test is expected but was not found from the source data.

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable

Failed test = the latest test has failed.

Not applicable = a test does not apply to this equipment type or configuration.

No passing test found = a passing test is expected but was not found from the source data.

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
4021707	Clark	Shelbyville	06/23/2026	Letter Form